Explain why psychological cultural and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes

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Explain why psychological cultural and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples. NOTE: Please while writing, include intext citations and references published within the last 5 years. Thank you

Based on the research you completed in the previous slide, write a one-page summary (Four to Five thousand words) on the Health Insurance Portability and Accountability Act (HIPAA).

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Based on the research you completed in the previous slide, write a one-page summary (Four to Five thousand words) on the Health Insurance Portability and Accountability Act (HIPAA).

You may respond to one or more of the following questions as you write your report.

  • Why is HIPAA important to patients?
  • How does HIPAA provide security?
  • How does HIPAA help doctor’s offices with the standardization of patient records?
  • Who is required to follow HIPAA requirements?

Please review the information on this website, from the Department of Health and Human Services. 

 

You are a population health nurse working with congestive heart failure clients (greater than the age of 65) who receive services from your hospital.

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You are a population health nurse working with congestive heart failure clients (greater than the age of 65) who receive services from your hospital. From a population health management perspective, identify services and interventions that address the health needs of this particular population.

Your exploration with this particular population should include cost-effective interventions that address health promotion and illness prevention, risk management, care coordination, and disease management.

Learning about issues surrounding human genetics and eugenics, including stem cell research, cloning, and genetic testing and treatment.

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Learning about issues surrounding human genetics and eugenics, including stem cell research, cloning, and genetic testing and treatment.

  • Choose and describe a scientific technique or practice related to genetics and eugenics. Provide the rationale behind the use of this technique or practice.

Locate and download the most recent version of the prospectus template in the DC Network

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Locate and download the most recent version of the prospectus template in the DC Network (http://dc.gcu.edu/dnp). This document has help and criteria information embedded to assist you in the completion of the prospectus.

  • Locate “The 10 Strategic Points” document (completed in previous courses). You will use information from this document to write the prospectus and attach this document as an appendix in the prospectus.
  • Review “DNP-830 Direct Practice Improvement (DPI) Project Guide,” (Chapters 1-3 only) for use in writing the prospectus.

The patient presents with an exacerbation of their asthma and significant fatigue. Difficulty breathing and feeling of phlegm in their lungs that isn’t brought up by coughing.

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The patient presents with an exacerbation of their asthma and significant fatigue. Difficulty breathing and feeling of phlegm in their lungs that isn’t brought up by coughing. Symptoms are unresolved by her inhalers. Patient says they haven’t seen their primary physician in over a year.

Name: Smith, Sarah                    Allergies: Penicillin, Pollen                   DOB: 17/06/1990 
Medical Record #: 28-7665
Reason for Seeking Care Patient presents with an exacerbation of their asthma and significant fatigue. Difficulty breathing and feeling of phlegm in their lungs that isn’t brought up by coughing. Symptoms are unresolved by her inhalers. Patient says they haven’t seen their primary physician in over a year.
Client Details: Sex: Female        Age: 31           Height: 5’4              Weight: 140

 

Vital Signs (upon admission):

T: 36.5 C                         HR: 120 BPM                            RR: 24

BP: 149/95                      SpO2: 92% (room air)               Pain Scale: 5

 

Presented with wheezing upon inspiration bilaterally, fatigue, cough, dyspnea. Patient is anxious about entering the hospital and about finding a way to control her asthma.
Past Health: Asthma diagnoses in 2000. Diagnosed with a seasonal allergy to pollen in 2001. No other health issues or concerns at this time.
Current Medications: Proventil HFA (90mcg Albuterol) Inhaler PRN

Advair Discus (100mcg Fluticasone Propionate / 50mcg Salmeterol) q2d

Tylenol 650mg PRN (usually q3 week for headaches)

 

Patient states she doesn’t use her Advair inhaler because she “doesn’t think it does anything”. When asked about her medications, patient was unable to explain what they were specifically for. When asked to demonstrate using inhalers, patient used incorrect technique.
Family History Patient’s parents are both smokers, but mom quit smoking tobacco 3 years ago and took up vaping. Dad still smokes tobacco every day, he goes through a pack every couple of days.

Patient has 2 siblings both girls and they are both younger than the patient.

Patient is single with no children.
Occupation The patient has been working as a receptionist for the last 7 years.
Education Some college.
Activity & Mobility Fully independent. Patient says she used to play soccer on the weekends with a group at her local community center, but since her asthma has gotten worse is unable to play. The only exercise she gets now is walking around the house and office.
Sleep and Rest Reports no issues sleeping. Goes to bed around 2300 each night and wakes up at 0700 for work and 0900 on weekends. Although she gets 8-10 hours of sleep each night, she always feels fatigued. Also reports feeling very tired in the afternoons (1400-1600) and usually has a coffee around this time to keep her awake.
Nutrition and Elimination Patient is lactose intolerant, so she avoids eating milk products unless they are lactose free.

 

Patient has a coffee every morning and usually skips breakfast, the odd day she will pick something up from Tim Hortons. For lunch she normally has a salad that contain spring mix, kale, spinach, cucumber, tomatoes, peppers, feta with balsamic dressing. Sometimes shell make a sandwich with 3 layers of meat, lettuce, tomatoes, pickles, hot peppers, mayo and Italian dressing. The patient will normally have an apple or granola bar in the afternoon as a snack. The patient eats a large dinner, normally it contains a large portion of veggies, piece of meat and a portion of starch. Sometimes the patient will have a nice big bowl of pasta. When the patient relaxes on the couch before bed, she likes to treat herself by eating some of her favourites, candy, chocolate or chips with a pop.
Spirituality / Religion No religious/spiritual affiliations.
Coping & Stress Management  The patient will practice her breathing exercises to help cope with her stress and to reduce the symptoms of an asthma attack. Some other coping strategies the patient uses to prevent asthma attacks is taking her medication on a regular basis, getting her annual flu shot, practicing hand hygiene, and avoiding scented areas. All of these coping strategies help prevent triggering an attack and also help prevent triggering more stress because they more attacks she has, the more permanent damage that can be caused within her airways and this causes a lot of stress to her and her family.
Smoking History, Alcohol, Substance Abuse Patient reports that she does not smoke cigarettes. Patient reports having 2-3 drinks during the week and occasionally drinks in excess on the weekend with friends (1-2 times per month). Patient states that she does not use any recreational drugs.

 

hey there according to this patient profile the nursing diagnosis i have is patient is at risk for depression and social isolation due to feeling a negative self-image as evidenced by the patient report of low self-worth and withdrawal from social activities. please I would need help getting

3 goals

3 interventions

3 rationale so for each gaol there would be 3 interventions and 3 rationales.

I also would like a nice explanation of the rationale explaining why  and also the website for research for more reading

thank you. 🙂

As the Administrator of a Medicare-certified home health agency you are responsible for analyzing and controlling cost variances to maintain agency viability

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As the Administrator of a Medicare-certified home health agency, you are responsible for analyzing and controlling cost variances to maintain agency viability. Identify three metrics you would use to analyze agency financial performance on a daily basis. Discuss why you have selected these metrics

A logic model or program theory is a description or model frequently pictorial of how a program is supposed to achieve its expected outcomes and solve the identified problem for which it was created

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A logic model or program theory is a description or model frequently pictorial of how a program is supposed to achieve its expected outcomes and solve the identified problem for which it was created.

It creates logical links between expected outcomes and the activities designed to achieve them and incorporates the evidence-based theoretical assumptions that explain how the activities will lead to outcomes.

A program theory or logic model is NOT the theoretical framework on which your project is based although it may be related to a theoretical framework.

A theoretical or conceptual framework is a general theory that explains why some things happen. A program theory or logic model is unique to your project and explains how it is supposed to work.

Assignment Prompt

Develop a one-page diagram of theoretical foundation for your project/program, describing how and why your project should achieve the desired outcome. Add references on the second page.

You may arrange items in the diagram in any way you choose, but the diagrams should include each of the following components and show the logical connections between them:

  1. The need or problem to be addressed by the project/program with supporting data
  2. The context for the project/program (attach a reference list with your diagram)
  3. The strategy (ies) proposed to address the need/problem
  4. The evidence base for the proposed strategies (attached a reference list with your diagram)
  5. Factors that will influence the use of strategy
  6. The expected outcomes of the project/program
  7. The resulting impact of the project/program if the outcomes are achieved.

 

Explain how methods of translation and approaches for the management of the implementation of the guideline might improve the success of implementing the guideline in an organization

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Explain how methods of translation and approaches for the management of the implementation of the guideline might improve the success of implementing the guideline in an organization.

 

B.  provide information that will deepen understanding of the concepts of methods for translation and approaches for the management of the implementation of the guideline

Discuss a healthcare safety concern using the SBAR (situation, background, assessment, recommendation) format by doing the following:

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Discuss a healthcare safety concern using the SBAR (situation, background, assessment, recommendation) format by doing the following:

 

1.  Describe a healthcare-related situation prompting a patient safety concern (S).

I have chosen the problem of CAUTIs or Catheter-Acquired Urinary Tract Infections, specifically, those patients who develop CAUTIs from the use of indwelling catheters in the acute care setting.

2.  Analyze background information about the concern by doing the following (B):

a.  Describe the data that support or would support the need for change.

This study showed the intervention strategy and CAUTI bundle can greatly decrease the IUC use rate and CAUTI rates, as well as improve quality and safety regimens in a large ICU while being able to create a durable cultural change regarding the use of IUC in hospital staff (Gupta, 2017). The importance of in-and-out catheterization and bladder scanning instead of IUC was also shown to prove a large role in the decrease of UTIs (Gupta, 2017).

b.  Explain how one or more national patient safety standards apply to this situation.

 

3.   Discuss the impact of the safety concern on the patient(s), staff, and organization (A).

The use of indwelling catheters unnecessarily exposes patients to CAUTIs, which can cause other problems associated with the UTI such as longer hospital stays and frequent use of antibiotics which can, in turn, lead to antibiotic resistance.

The use of indwelling catheters should be carefully monitored, used only when necessary and no longer than needed.

a.   Explain how the safety concern affects value for the patient(s) and the organization.

 

4.   Recommend an evidence-based practice change that addresses the safety concern (R).

I believe the best intervention to decrease the rates of CAUTIs is the reinforcement of education or better training on the appropriate usage, cleaning techniques, and removal guidelines for indwelling catheters.

a.   Discuss how this recommendation aligns with the principles of a high-reliability organization.

 

b.   Describe two potential barriers to the recommended practice change.

I think there are several barriers that could be encountered such as the new practice not being followed by staff who are resistant to change or feel that it is easier to deal with multiple patients if they have an IUC.

There is also the issue of incontinent patients that can develop skin integrity issues which is why many patients have an IUC.

c.   Identify two potential interventions to minimize the barriers from part A4b to the recommended practice change.

For incontinent patients more frequent trips to the bathroom or use of a bedpan, diaper or chucks could be helpful in not using an IUC. For staff that is resistant to change, ask them why they feel the new guidelines are not achievable and if they have any ideas that they feel could be implemented that would be helpful to the issue.

d.   Discuss the significance of shared decision-making in implementing this recommendation.

I believe it would be important to involve the nurses that work at the bedside and make sure they understand how important it is to implement the new changes along with getting their input on how the changes are positive or negative as well as the unit leaders or managers that will be enforcing the new changes and providing training on how to insert, use and care for IUCs following the new guidelines.

The physicians that work on the unit should be included in the teaching exercises and informed on why this change needs to be implemented and their opinions considered since they are the ones who prescribe the IUCs.

e.   Describe an outcome measure that could be used to evaluate the results of the recommendation.

The outcome that would measure my recommended change would be a decreased number of cases of hospital-acquired CAUTIs in an acute care unit over 3 months compared to the 3 months before the changes were implemented.

f.    Discuss how the care delivery model in this organization would be impacted by this change.